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Electrical Permit Form
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This form must be completed, signed and submitted before the permit becomes valid.
State License Number
By signing this fax /email permit sign on, it is agreed that you are the qualified contractor for this job and are accepting all pertinent City Ordinances and Building Codes.
Qualifier's or Authorized Agent's eSignature
Electrical inspections require 24 hour notice. Leave all information required on the inspection line or you may not risk getting an inspection: 727-369-5834. If you are not registered in the City, please fax a current copy of your state license and county construction licensing board license to 727-369-5839.
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